The complexity of the situation was far beyond what the ace pigeon expected. Judging from the state of this little girl's soul, her soul is already very unstable, basically to the extent that it can incur death. But even if a fifteen or sixteen-year-old girl has an open fracture, her soul will not reach such a point.

Although he didn't know the specific reason, Wang Ge still found the cart and wanted to tell Liu Ya to let the child go first, but just after pushing the cart over, he heard Liu Ya's judgment on the girl's current situation, and then he understood. In addition to the leg injury, this child has a big problem with his heart, which is why he shows this vital signs, as well as this state of soul.

Liu Ya was also a little panicked, it is estimated that the nearest large hospital that can conduct systematic heart examinations is estimated to be about 30 kilometers, and there is no store in front of the village or behind it, even if the king pigeon comes to drive, it will take more than 20 minutes. During these more than 20 minutes, the patient may have an accident at any time. In fact, at the scene of such a large-scale accident, there are two situations that are most frightening to doctors, the first is that the injured person himself has a very serious disease, plus the trauma in the accident, which is usually the first to be put on the death list by the Grim Reaper. The second is pregnant women.

Fortunately, the accident bus was not full, in the evening, this should be from the outside county-level city or prefecture-level city into the provincial capital Xiangsha City's last general train, most of them are some students who go to school outside and are close to home, or people who are working, except for teenage children in the car are adults in their thirties and forties, only one under the age of five, and there are no pregnant women.

Wang Ge and Liu Ya carefully carried the child into the car, this fifteen or sixteen-year-old little girl is the time to grow the body, usually speaking, the head is relatively tall, and there is no meat on the body, very, very thin, because the speed of growing tall is too fast, horizontally can not keep up, during this period the bones are not wrapped in muscle and fat, and extremely fragile, a slight fall will easily cause joint dislocation, dislocation or fracture, let alone such a serious accident.

Although the weight of this girl is not very large, but due to the trauma on her body, she must maintain her current posture when carrying it, and the bone spur on her leg with blood stains poking out of the skin is shocking to see, and after the person was lifted to the cart, Shen Hui tied a tourniquet near the wound, which is the only thing she can do now.

"Do you want to give some medicine?" Shen Hui raised her head and asked.

"Get in the car first and give an ECG. Liu Ya said, and Brother Wang, who was on the side, began to push the cart carefully and quickly, looking for his ambulance.

When his ambulance was parked on the side of the road just now, it was still relatively empty, but now his car was full of other vehicles parked next to it, including ambulances from other hospitals and the Second Affiliated Hospital of Yaxiang, as well as vehicles from the police and fire brigade.

Fortunately, everyone considers others when parking, which is also the criterion in the rescue work, that is, do not block the way out of any rescue vehicle, otherwise it may block the passage of life, especially the ambulance.

What makes Liu Ya really worried, is that this girl originally had a heart problem, it stands to reason that such a serious problem should be found in the school's physical examination, the physical examination must contain an electrocardiogram, and the problem can definitely be seen from the electrocardiogram.

However, after the medical examination, the school will only notify the individual and recommend that the student who has been found to have problems go to the hospital for an in-depth examination, and will not take any mandatory measures, which is also unrealistic.

So it may be that the doctor is not responsible and did not find out at all, or it may be that after finding out, the school notified the students and parents, but they did not take it seriously.

As things stand, it's likely to be the latter. The reason why this is not taken seriously is very simple, as long as you don't do strenuous exercise and don't do heavy physical work, your daily life is no different from that of a normal person.

But once it comes to such a time, the body is in severe pain, nervous and afraid, and there is blood loss, it may aggravate the heart disease, and the symptoms that are not manifested are piled up on the body all at once, which child can bear it?

Ischemia in the body will aggravate myocardial ischemia, and the plasma is cold, and it may increase the burden on the body when it is injected into the body.

At this moment, the overturned bus dozens of meters away suddenly burst into a huge flame, and the firefighters shouted to get out of here quickly.

The sound of the explosion was deafening, Wang Ge directly pressed his body on the girl's body, with his own body to protect the patient, the back was hit by the explosion of stones and debris thumping, severe and penetrating pain hit, after the explosion, the ears have not returned to normal, Wang Ge first checked his body, found that there was no injury, no bleeding, no pain in the back and abdomen, there should be no internal bleeding.

"Hurry up, hurry up!" Liu Ya was almost knocked to the ground by the explosion, although Wang Ge couldn't hear what Liu Ya was saying now, but he could immediately distinguish the shape of his mouth.

He glanced at Shen Hui, who was squatting on the ground next to him, and pulled her up.

Facing Shen Hui in the bus, her entire face had been turned red by the fire.

"Is there anything wrong?" asked the king.

After a few seconds, Shen Hui's hearing had recovered, but her ears were still buzzing, and she shook her head at the king pigeon.

After the explosion, the three people did not stay, the group got into the car, Wang Ge just closed the back door of the car, sat in the cab, and before he could twist the key, he saw a corner of an umbrella behind an ambulance next to him.

It was getting late, but it wasn't raining, and the only one who appeared here with an umbrella was Death. But it's also a good thing, the presence of the Grim Reaper here in large numbers means that the angels will not visit.

At least in this case, the king pigeon can temporarily avoid the interference of the celestial realm.

Are you here for yourself?

The king pigeon started in gear, the vehicle immediately turned around, and the Grim Reaper, who had just appeared behind the other ambulance, didn't think about it, and followed the king pigeon in the ambulance.

That's right, it's for yourself. Wang Ge glanced at the situation in the carriage with a reflector, Liu Ya and Shen Hui had already given the patient oxygen, put on a full set of vital signs monitoring equipment, and they were still busy giving the patient an electrocardiogram.

With the slight rotation sound of the electric motor, the ECG drawings were slowly spit out by the machine.

"The temperature of the ear canal is 39.5 degrees Celsius, and now I have symptoms of myocardial infarction or even heart failure, irregular heartbeat, if you look at it on the electrocardiogram, ......" Liu Ya raised his head and shook his head at Shen Hui, "I'm not sure what kind of disease is causing the symptoms, anyway, now I have heart problems and heart failure, so let's administer the medicine according to heart failure?"

Liu Ya no longer regards Shen Hui as a nurse, but as his peer friend. Then he has now begun to ask Shen Hui for advice. A doctor can't ask a nurse for advice.

This proves that Liu Ya panicked.

"You ask me, I ask whom, you are a doctor, stick to your own choice. Shen Hui really knows Liu Ya too well, the two have worked together for so long, she knows that Liu Ya has her own judgment in her heart now, but she just doesn't dare to start. After working in the medical field for such a long time, and not working in the emergency post for a day or two, Liu Ya's current state really shouldn't appear.

It's that this patient's condition is too complicated, he is very young, he is not an adult, and his life has not yet begun. If you are not careful, the rest of your life will be gone. Moreover, if you rescue heart failure, it will definitely dilate the blood vessels and speed up the blood flow, which will undoubtedly increase the amount of bleeding in the patient.

You know, the patient also has a big trauma on his leg.

"Hurry up and make a decision, wait a little longer, it's too late!" Wang Pigeon shouted very rarely, "do something, even if it is wrong, it doesn't matter, the situation will not get worse than now, it is better than doing nothing." ”

Wang Ge said these words because he felt the pressure from death. On the provincial road, all the vehicles are heading towards the scene of the accident and want to participate in the rescue, while only the ambulance of the king pigeon is driving in the opposite direction. The Grim Reaper chased after the ambulance, only 20 meters away.

20 meters is the limit distance that a Grim Reaper can approach to a dying person. As long as Brother Wang stops, then the Grim Reaper will definitely walk the 20 meters slowly and down-to-earth, and then take away the patient's soul.

You must know that Brother Wang's speed has now reached 100 kilometers per hour. Later, if he gets on the highway, he will reach a speed of 130 to 140 kilometers per hour.

Since 100 km/h can't shake off death, no matter how fast you go, the result will be the same.

The Grim Reaper was desperate to take the girl's life, and it seemed that there was no turning point for the girl now.

"Do it, the king pigeon is right, it's better than not doing it, I'm responsible for death." Liu Ya rubbed his eyes, as if he had walked out of the hesitant state just now, and the speed of his speech began to become very fast again.

"Endotracheal intubation, ventilator connection, high-flow oxygen, 8 liters per minute, open intravenous access, cedilan 0.2 mg, 20 milliliters of 25 percent glucose injection, intravenous delay, furosemide 20 mg, intravenous delay. Liu Ya thought about it for a while, but he still took strengthening the heart and reducing heart pressure as the main rescue direction, and didn't even dare to use nitroglycerin.

Rescue in first aid is like this, and it can never be done according to the textbook. It stands to reason that nitroglycerin should be used for heart failure, but the patient now has serious trauma, nitroglycerin will dilate blood vessels, lower blood pressure, although it is very effective for psychological failure, but the patient is now losing a lot of blood, there are wounds on the body, and the blood pressure itself is very low, nitroglycerin is definitely a poison for the current patient.

First aid requires doctors to make judgments immediately according to the actual situation, and adapt to the situation, generally speaking, it is more difficult than the outpatient clinic, after all, the outpatient clinic will have laboratory tests, whether it is a blood test or urine test or any other examination, everything has data, doctors can judge through the data, and prescribe the right medicine for the patient.

Emergency care, although there are also some indicators to consider, largely depends on the doctor's own experience level and accurate judgment.

To know if the medicine is effective, Wang Ge doesn't actually need to look at the vital signs displayed on the screen in the reflector, he only needs to use his soul power to perceive the current position of the Grim Reaper.

A few minutes later, the ambulance was already on the highway, and the speed had reached 120 kilometers per hour, but now the Grim Reaper still maintained its previous speed and did not accelerate.

This proves that Liu Ya's judgment at the critical moment is correct, and the drug has just entered the patient's body, and it has already had its due effect.

Otherwise, the speed of the ambulance pursued by the Grim Reaper now would definitely increase with the speed of the ambulance.

"Fat bunny, pull it back a little. Shen Hui looked at the vital signs monitoring equipment and said excitedly.

"It should be possible to substitute plasma now. Liu Ya nodded, but his expression didn't change much, and he was obviously not very satisfied with this result.

"This is the Second Affiliated Hospital of Yaxiang No. 0110, Xiang AGZ689, has received a seriously injured patient at the scene of the high-speed accident around the city, now manifested as heart failure, open fracture of the right lower leg, the situation is very critical, life is in danger at any time, request the command center to instruct the nearest hospital with medical emergency conditions from me. Wang Ge picked up the intercom, reported the current situation, and also got help from the command center.

"No. 0110 driver, the nearest hospital to you is the first hospital of Xiangsha City, the remaining 23 kilometers of driving, and the hospital has been notified to be ready to receive treatment. The answer on the other side seemed a little frustrated, I don't know if it was tired, or if I didn't have much hope for this rescue operation, after all, it was too far away.

"Yes, I'll be at the hospital in ten minutes, the current patient level is the highest priority!" Wang Ge ignored this tone and replied directly.

"There should be a lot of injuries in the explosion just now...... Liu Ya said suddenly.

"I haven't received any notice here yet, will you stay in the hospital for a long time?" asked Wang Ge.

"Orthopedics and cardiology are not my strong suits, so we will return to the site as soon as the handover is done. Liu Ya is obsessed with the explosion at the scene of the accident, and so is the king pigeon.

After all, before they left the scene, there were many firefighters, traffic police and medical workers around the bus, and the explosion had a large impact, and it is estimated that there will be a second injury.